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COMPLIANCE INFO_2007-2008
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2007-2008
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Last modified
6/20/2023 10:36:46 AM
Creation date
6/3/2020 9:43:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2008
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2007-2008.tif
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EHD - Public
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Y , <br /> S W RC B,January 2002 Page L of <br /> 6. PIPING SUMP TESTING <br /> Test Method Developed By: ❑Sump Manufacturer 0 Industry Standard Professional Engineer <br /> (7 Other(Specify) <br /> Test Method Used: 1-j Pressure 0 Vacuum 'Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: C cti t (I L P_kAk l_ CIL-6--4,0_ - , c e.4 V 0,el Equipment Resolution: , 0 0 Z <br /> Sump# 1 ump# Sump# / Sump# <br /> Sump Diameter: 3� t j <br /> Sump Depth: 3 y 1l7,, <br /> Sump Material: <br /> Height from Tank Top to Top of <br /> Hi hest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to testing: py- s <br /> Portion of Sump Tested' w a. e� -"L t o p <br /> Does turbine shut down when ;. <br /> sump sensor detects liquid(both ❑Yes 0 No NA ❑Yes N El NA 0 Yes ❑No 0 NA 0 Yes 0 No 0 NA <br /> roduct and water)?� '( r <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe <br /> shutdown?* ❑ Yes ❑No NA ❑Yes ❑ o ❑NA 0 Yes ❑,,No 0 NA 0 Yes d No ❑NA <br /> Was <br /> asmiaio al?°verified to be 0 Yes 0 No ,"A ❑Yes ❑ o ❑NA ❑Yes €❑'No ❑NA ❑Yes No ❑NA <br /> Wait time between applying 3 <br /> pressure/vacuum awk r d starting r' <br /> test: <br /> Test Start Time: ! U <br /> Initial Reading(111): 1 tis C,,c- 1 <br /> Test End Time: 9! Ly t <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rj): b <br /> Pass/Fail Threshold or Criteria: .005- (30 <br /> Test Result: 0 Pass ❑ Fail ❑ Pass ❑Fai ❑ Pass ❑ Fai ❑ Pass ❑ :ail <br /> Was sensor removed for testing? es 11No 0 NA 0 es 0 No 0 N Yes 0 No 0 N 0 Yes 0 No A <br /> Was sensor properly replaced and t <br /> verified functional after testing? es ❑No ❑NA ❑ es 0 No 0 N Yes 0 No ❑NA1 ❑Yes ❑No ❑ISA <br /> Comments—(include information on repairs made prior to testing, and recommended ollow-u or ailed tests) <br /> 1 <br /> If the entire depth of the sump is not tested,.specify how much was tested. If the answer to any of the questions indicated with an <br /> asterisk(*) is"NO"or"NA", the entire sump must be tested. (See SWRCB LG-160) <br />
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